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Home My WebLink About02552 • . .... • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2552 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81801 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Owner's Name q T Leasing Present Address f195n Cory 11 uA • C• c Phone 99R -()R9 System Location 0950 Cnrya11 Rnart f:1 nnwnnd Springs Legal Description of Assessor's Parcel No.. SYSTEM DESIGN 7-Pr) Septic Tank Capacity (gallon) Other ( ,,444 , , ?° Percolation Rate (minutes/inch) Number of Bedrooms (or other) 5 persons �` Pe � ✓ co be ' /�-a 4 cif L eot4 aaeR -/,21X)2,1)/3 Required Absorption Area - See Attached / a O #1 _ f n._,�. 1-- 6-Y 7 a' Special Setback Requirements: Gf Date 2, " /.2 Inspector 4- .fie FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer SB&.P O_oa -Yaft)' Septic Tank Capacity /6C-'C> Septic Tank Manufacturer or Trade Name 60 , L04-7 tS- Septic Tank Access within 8" of surface 1 2- ) FS' Et Absorption Area LSO set / Absorption Area Type and /or Manufacturer or Trade Name QAO/! / 4- zire/4 +dart - ,S /S /,2 X3 Adequate compliance with County and State regulations/requirements 1 7 ) C - --S Other Date 0 7 /4 / 9 �p ' Inspector J fl.t C75 RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All Installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters, or installs an Individual sewage disposal system In a manner which Involves a knowing and material variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense (8500.00 fine — 8 months In )ail or both). White - APPLICANT Yellow - DEPARTMENT ,p INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION / `t d(ry / e A - S . � N OWNER Si / / '':��ri ADDRESS ,0.)-S0 r _ , ,S P • E : -0 CONTRACTOR S.T � 04)7 4cTOes. tt . p ADDRESS t c, „Fox D l� / 6/ -,t<( Co PHONE & ‘922-- 0813 Me 73? / PERMIT REQUEST FOR O6 NEW INSTALLATION ( ) ALTERATION ( ) REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil p ofiles in test holes (See page 4). LOCATION OF PROPOSED FACILITY: COUNTY, clnetit`LO Near what City or Town _ . I)WDO -v At' 44 'iz of 1. ��++ .1 C S Legal Description or Address P 2.5".0 �eu C /�� . a) ants 9> -7 �, WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE V ' (f} COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: Number of Bedrooms O Number of Persons :A ( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: O6 WELL ( ) SPRING ( ) STREAM OR CREEK Give depth of all wells within 180 feet of system: If supplied by Community Water, give name of supplier GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table Percent Ground Slope 2 7 — DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 5 MI2.6 5 Was an effort made to connect to community system? ( ) YES (h) NO TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (') SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE FINAL DISPOSAL BY: O<) ABSORPTION TRENCI I, BED OR PIT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER - DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? M0 2 • 9 RC6 ATION TEST RESULTS• (To be completed by Registered Professional Engineer) Minutes per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in hole No. Name, address and telephone of RPE who made soil absorption tests: Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and repmis as may be required by the local health department to be made and fiunished by the applicant or by the local health department for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with pules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of niy knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. 1 further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Signed a ' -� / Date 7.1 2— 96 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 • HEPWORTH- PAWLAK GEOTECHNICAL, INC. 5020 Road 154 Glenwood Springs, CO 81601 February 9, 1996 Fax 970 945 -8454 Phone 970 945 -7988 Nick Terliamis 0252 167 Road Glenwood Springs, Colorado 81601 Job No. 196 120 Subject: Percolation Testing for Septic Disposal System, 0250 Coryell Road, Garfield County, Colorado Dear Mr. Terliamis: As requested by you, we conducted percolation testing at the subject site. The work was performed in accordance with our agreement letter for professional geotechnical engineering services to you dated February 8, 1996. The findings of our work are presented in this report. We understand that the percolation test holes and profile pit had been dug and soaked on February 7, 1996 by you. The percolation test holes were covered to protect them against freezing. The test holes were excavated with a rubber -tired backhoe, and a hole approximately 1 foot in diameter and 1 foot deep was hand dug in the bottom of each hole. The test locations are shown on Fig. 1. Percolation testing and observation of the profile pit was performed on February 8 by a representative of Hepworth - Pawlak Geotechnical, Inc. The percolation test results are provided on Table I. The soils exposed in the profile pit consisted of 5.5 feet of fine - grained soil overlying silty sandy gravel with cobbles to the maximum depth dug of 8 feet. No free water was observed in the profile pit and the subsoils were moist. Based on our observations and percolation test results, the tested area is suitable for an infiltration septic disposal system. If you have any questions or we may be of further assistance, please call our office. Sincerely, HEPWORTH- PAWLA. z t. NICAL, INC. al . ./.. 1 "r ' � •• f Steven L. Pawlak, f' ; „ 15 2 2 2 >♦ 02 -14 $ 1 SLP /kmk II V02-14/4 s r • • e ` r / OVAL 0 %A. , attachments 1 ",. OF �a- -- APPROXIMATE SCALE I" = 20' EXISTING SHOP BUILDING EXISTING PARKING PROFILE AREA PIT A PI A P 2 p P3 4 196 120 ( GEOTEC Inc. (LOCATION OF PERCOLATION TEST HOLES [ F 1 9• 1 . in y HEPWORTH- PAWLAK GEOTECHNICAL, INC. SUMMARY OF PERCOLATION TEST RESULTS TABLE I JOB NO. 196 120 HOLE NO. HOLE DEPTH LENGTH OF WATER WATER DROP IN AVERAGE (INCHES) INTERVAL DEPTH AT DEPTH AT WATER PERCOLATION (MIN) INTERVAL IN ERVAL (INCHES) (MIN./INCH) (INCHES) (INCHES) P1 49 15 8 71/4 3/4 refill 93/4 91/4 1/2 refill 10 9114 3/4 refill 9 1/4 8 3/4 1/2 83/4 81/4 1/2 30 P2 57 15 10 7 3/4 21/4 refill 9 71/2 11/2 refill 101/4 9 11/4 refill 91/2 81/4 11/4 refill 9 7 3/4 1 1/4 refill 81/4 71/4 1 15 P3 57 15 8 71/2 1/2 refill 7 3/4 7 3/4 refill 7 3/4 7 3/8 3/8 7 3/8 8 3/4 5/8 refill 7 3/8 6 7/8 1/2 67/8 63/8 112 3o